CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Chimeric antigen receptor-engineered NK cells: new weapons of cancer immunotherapy with great potential.
Chimeric antigen receptor-engineered NK cells: new weapons of cancer immunotherapy with great potential.
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嵌合抗原受体(CAR)工程化的T(CAR-T)细胞在血液系统恶性肿瘤的临床免疫治疗中取得了显著成就,推动了癌症治疗中细胞免疫疗法的快速发展。科学家们也意识到CAR工程在细胞免疫治疗中的潜在优势。由于CAR-T 疗法严重副作用等多种局限性,研究人员开始探索其他免疫细胞用于CAR改造。自然杀伤(NK)细胞是关键的先天免疫细胞,具有非特异性识别靶细胞的特征,并具有成为“现货型”产品的潜力。近年来,许多关于CAR工程化NK(CAR-NK)细胞的临床前研究显示了其在癌症治疗中的显著疗效以及优于自体CAR-T 细胞。在这篇综述中,我们总结了CAR-NK细胞的生成、抗肿瘤活性机制和独特优势,然后分析了CAR-NK细胞治疗的一些挑战和近期临床试验。我们相信,CAR-NK疗法在未来的癌症免疫治疗中具有广阔前景。
Chimeric antigen receptor (CAR)-engineered T (CAR-T) cells have obtained prominent achievement in the clinical immunotherapy of hematological malignant tumors, leading to a rapid development of cellular immunotherapy in cancer treatment. Scientists are also aware of the prospective advantages of CAR engineering in cellular immunotherapy. Due to various limitations such as the serious side effects of CAR-T therapy, researchers began to investigate other immune cells for CAR modification.
Natural killer (NK) cells are critical innate immune cells with the characteristic of non-specifically recognizing target cells and with the potential to become "off-the-shelf" products. In recent years, many preclinical studies on CAR-engineered NK (CAR-NK) cells have shown their remarkable efficacy in cancer therapy and their superiority over autologous CAR-T cells.
In this review, we summarize the generation, mechanisms of anti-tumor activity and unique advantages of CAR-NK cells, and then analyze some challenges and recent clinical trials about CAR-NK cells therapy.
We believe that CAR-NK therapy is a promising prospect for cancer immunotherapy in the future.
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